Individual provider Active NPI

Jennifer Bronson Denholm, LCSW

  • Clinical Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1497301626
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020108 Issued in PA
Practice address
1084 E Lancaster Ave Ste 303B
Bryn Mawr, PA 19010-1515
Phone
(610) 642-3356
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW020108 PA Primary

Addresses

Primary practice location

1084 E Lancaster Ave Ste 303B
Bryn Mawr, PA 19010-1515

Mailing address

1084 E Lancaster Ave Ste 303B
Bryn Mawr, PA 19010-1515
Phone (610) 642-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW020108PAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1497301626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 E LANCASTER AVE STE 303B",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101515",
            "telephone_number": "610-642-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 E LANCASTER AVE STE 303B",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101515",
            "telephone_number": "610-642-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHOLM",
        "first_name": "JENNIFER",
        "middle_name": "BRONSON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.